Brief Answer:
Surgery is not necessarily indicated

Detailed Answer:
hi,

thanks for your question.

the report that you describe is likely from a foot and ankle X-ray and are all chronic incidental findings which means that they have been there for a long time and may be unrelated to your symptoms.

none of the findings that your describe require any intervention in the abscence of symptoms.

The medial malleolar calcific density could be related to a previous sprain or fracture of your ankle joint. it is talking about a small piece of detached bone on the inside of your ankle.

the calcaneal spur is a piece of bone on the underside of your heel bone usually at the insertion of the plantar fascia. these can be associated with a condition called plantar fasciitis.

the retrocalcaneal enesthophyte is similar to the heel bone spur but at the back of the heel bone where the tendoachilles inserts.

some people are more likely to form bone spurs where tendons and fascia insert than others.

I hope this answers your question. best wishes

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Brief Answer:
Need further information

Detailed Answer:
hi,

thanks for your follow up question.

the abnormal findings on your X-ray do not require any treatment in the abscence of symptoms.

if you could describe the symptoms (if any) that you have in your foot and or ankle and if there are any tender areas then I may be able to offer some advice on treatment.

best wishes

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Brief Answer:
Did you injure your ankle

Detailed Answer:
hi,

thanks for your question.

I need to know if you recently injured your ankle? how did your symptoms start?

none of the abnormal X-ray findings are on the outside bone of your ankle.

if you did recently injure your ankle it may be that you have simply sprained it and the the X-ray findings are unrelated.

best wishes

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Brief Answer:
No direct answer to your question.

Detailed Answer:
hello,

I read the part of the report that I could see. in fact the whole of the report is not included in the picture.

the X-ray report does not give a diagnosis or tell a physician how to treat your foot.

many people would have a foot X-ray at your age with similar findings.

tenderness over the outside of your ankle would not be explained by any of the findings on the xray.

tenderness on the inside of your ankle, over the bottom or back of your heel bone would.

your dropped arch would also not be explained by the X-ray findings. the most common cause of this is tibialis
posterior tendon degeneration. to see if this is contributing to your symptoms you would need to see an orthopaedic surgeon.

best wishes

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